Colorectal Cancer Screening in the Framework of the Medical Home Model

Authors, Primary Sarfaty,Mona;Stello,Brian;Johnson,Melanie;Sifri,Randa;Borsky,Amanda;Myers,Ronald
Title Primary Colorectal Cancer Screening in the Framework of the Medical Home Model
Periodical Full American Journal of Medical Quality
Pub Year 2013
Volume 28
issue 5
Start Page 422-428
Abstract A recent report from a survey of 15 primary care practices revealed considerable variability and much room for improvement in aspects of primary care practice that are associated with increased colorectal cancer screening rates. There was low utilization of patient reminders, tracking of test completion, rescheduling of missed appointments, and inconsistent follow-up of positive stool blood tests. Qualitative data collected in the same study provide insights into how the practices operated. Focus group discussions with the clinicians and staff of the practices and key informant interviews with office managers support the survey findings by shedding light on a lack of office policies and systems. Many practices lacked a systematic way to identify patients who were not up to date on screening while they were visiting the practice, thereby passing up the best opportunity to reach them. These findings are not consistent with the patient-centered medical home model.
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Reference Type(s) Journal Article
Topic Tag(s) System Approach to Quality and Safety;Primary Care Workforce Issues;Defining/Evaluating/Qualifying a Medical Home
Special Population(s) Not Available
Case Study No
Commentary/Opinion Piece No
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